Mitchell Edward Mleziva

Athletic Trainer · Mequon, WI

Individual Active NPI

NPI number 1104315050

Practice location

12800 N Lake Shore Dr
Mequon, WI 53097-2418
Phone
(262) 243-4414

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NPI record

NPI
1104315050
Entity type
Individual (Type 1)
Enumeration date
May 7, 2018
Last updated
May 7, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 1720-39 WI

Mailing address

509 Hillcrest Ct
Saukville, WI 53080-2560
Phone
(920) 536-0647

About Mitchell Mleziva

Mitchell Edward Mleziva is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 12800 N Lake Shore Dr, Mequon, WI 53097-2418. The NPI number 1104315050 was assigned on May 7, 2018 and the record was last updated on May 7, 2018.

Mitchell Mleziva lists a license in the registry: #1720-39 (WI) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mitchell Edward Mleziva?

The NPI number is 1104315050.

What is the phone number of Mitchell Mleziva?

The phone number listed for the practice location is (262) 243-4414.

Where is Mitchell Mleziva located?

12800 N Lake Shore Dr, Mequon, WI 53097-2418.

What is the taxonomy code for Mitchell Mleziva?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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